Recent Alsa update and Pulse suddenly sees 0 audio devices

I have checked around, and none of the posts with similar issues have worked for me. I updated Alsa recently, and suddenly, only my HDMI and USB devices are recognized, the aux is completely missing.

Output of pacmd list-cards

Code:3 card(s) available.
index: 0
name: <alsa_card.pci-0000_01_00.1>
driver: <module-alsa-card.c>
owner module: 6
properties:
alsa.card = "1"
alsa.card_name = "HDA NVidia"
alsa.long_card_name = "HDA NVidia at 0xdf080000 irq 17"
alsa.driver_name = "snd_hda_intel"
device.bus_path = "pci-0000:01:00.1"
sysfs.path = "/devices/pci0000:00/0000:00:01.0/0000:01:00.1/sound/card1"
device.bus = "pci"
device.vendor.id = "10de"
device.vendor.name = "NVIDIA Corporation"
device.product.id = "10f0"
device.product.name = "GP104 High Definition Audio Controller"
device.string = "1"
device.description = "GP104 High Definition Audio Controller"
module-udev-detect.discovered = "1"
device.icon_name = "audio-card-pci"
profiles:
output:hdmi-stereo: Digital Stereo (HDMI) Output (priority 5900, available: no)
output:hdmi-surround: Digital Surround 5.1 (HDMI) Output (priority 800, available: no)
output:hdmi-surround71: Digital Surround 7.1 (HDMI) Output (priority 800, available: no)
output:hdmi-stereo-extra1: Digital Stereo (HDMI 2) Output (priority 5700, available: unknown)
output:hdmi-stereo-extra2: Digital Stereo (HDMI 3) Output (priority 5700, available: no)
output:hdmi-surround-extra2: Digital Surround 5.1 (HDMI 3) Output (priority 600, available: no)
output:hdmi-surround71-extra2: Digital Surround 7.1 (HDMI 3) Output (priority 600, available: no)
output:hdmi-stereo-extra3: Digital Stereo (HDMI 4) Output (priority 5700, available: no)
output:hdmi-surround-extra3: Digital Surround 5.1 (HDMI 4) Output (priority 600, available: no)
output:hdmi-surround71-extra3: Digital Surround 7.1 (HDMI 4) Output (priority 600, available: no)
output:hdmi-stereo-extra4: Digital Stereo (HDMI 5) Output (priority 5700, available: no)
output:hdmi-surround-extra4: Digital Surround 5.1 (HDMI 5) Output (priority 600, available: no)
output:hdmi-surround71-extra4: Digital Surround 7.1 (HDMI 5) Output (priority 600, available: no)
output:hdmi-stereo-extra5: Digital Stereo (HDMI 6) Output (priority 5700, available: no)
output:hdmi-surround-extra5: Digital Surround 5.1 (HDMI 6) Output (priority 600, available: no)
output:hdmi-surround71-extra5: Digital Surround 7.1 (HDMI 6) Output (priority 600, available: no)
output:hdmi-stereo-extra6: Digital Stereo (HDMI 7) Output (priority 5700, available: no)
output:hdmi-surround-extra6: Digital Surround 5.1 (HDMI 7) Output (priority 600, available: no)
output:hdmi-surround71-extra6: Digital Surround 7.1 (HDMI 7) Output (priority 600, available: no)
off: Off (priority 0, available: unknown)
active profile: <output:hdmi-stereo-extra1>
sinks:
alsa_output.pci-0000_01_00.1.hdmi-stereo-extra1/#3: GP104 High Definition Audio Controller Digital Stereo (HDMI 2)
sources:
alsa_output.pci-0000_01_00.1.hdmi-stereo-extra1.monitor/#6: Monitor of GP104 High Definition Audio Controller Digital Stereo (HDMI 2)
ports:
hdmi-output-0: HDMI / DisplayPort (priority 5900, latency offset 0 usec, available: no)
properties:
device.icon_name = "video-display"
hdmi-output-1: HDMI / DisplayPort 2 (priority 5800, latency offset 0 usec, available: yes)
properties:
device.icon_name = "video-display"
device.product.name = "Dell S2417DG
"
hdmi-output-2: HDMI / DisplayPort 3 (priority 5700, latency offset 0 usec, available: no)
properties:
device.icon_name = "video-display"
hdmi-output-3: HDMI / DisplayPort 4 (priority 5600, latency offset 0 usec, available: no)
properties:
device.icon_name = "video-display"
hdmi-output-4: HDMI / DisplayPort 5 (priority 5500, latency offset 0 usec, available: no)
properties:
device.icon_name = "video-display"
hdmi-output-5: HDMI / DisplayPort 6 (priority 5400, latency offset 0 usec, available: no)
properties:
device.icon_name = "video-display"
hdmi-output-6: HDMI / DisplayPort 7 (priority 5300, latency offset 0 usec, available: no)
properties:
device.icon_name = "video-display"
index: 1
name: <alsa_card.usb-046d_B525_HD_Webcam_414AA060-00>
driver: <module-alsa-card.c>
owner module: 7
properties:
alsa.card = "2"
alsa.card_name = "B525 HD Webcam"
alsa.long_card_name = "B525 HD Webcam at usb-0000:02:00.0-1.1, high speed"
alsa.driver_name = "snd_usb_audio"
device.bus_path = "pci-0000:02:00.0-usb-0:1.1:1.0"
sysfs.path = "/devices/pci0000:00/0000:00:1c.0/0000:02:00.0/usb3/3-1/3-1.1/3-1.1:1.0/sound/card2"
udev.id = "usb-046d_B525_HD_Webcam_414AA060-00"
device.bus = "usb"
device.vendor.id = "046d"
device.vendor.name = "Logitech, Inc."
device.product.id = "0836"
device.product.name = "B525 HD Webcam"
device.serial = "046d_B525_HD_Webcam_414AA060"
device.form_factor = "webcam"
device.string = "2"
device.description = "B525 HD Webcam"
module-udev-detect.discovered = "1"
device.icon_name = "camera-web-usb"
profiles:
input:mono-fallback: Mono Input (priority 1, available: unknown)
input:multichannel-input: Multichannel Input (priority 1, available: unknown)
off: Off (priority 0, available: unknown)
active profile: <input:mono-fallback>
sources:
alsa_input.usb-046d_B525_HD_Webcam_414AA060-00.mono-fallback/#4: B525 HD Webcam Mono
ports:
analog-input-mic: Microphone (priority 8700, latency offset 0 usec, available: unknown)
properties:
device.icon_name = "audio-input-microphone"
multichannel-input: Multichannel Input (priority 0, latency offset 0 usec, available: unknown)
properties:

index: 2
name: <alsa_card.pci-0000_00_1f.3>
driver: <module-alsa-card.c>
owner module: 27
properties:
alsa.card = "0"
alsa.card_name = "HDA Intel PCH"
alsa.long_card_name = "HDAudio-Gigabyte-ALC1220DualCodecs"
alsa.driver_name = "snd_hda_intel"
device.bus_path = "pci-0000:00:1f.3"
sysfs.path = "/devices/pci0000:00/0000:00:1f.3/sound/card0"
device.bus = "pci"
device.vendor.id = "8086"
device.vendor.name = "Intel Corporation"
device.product.id = "a2f0"
device.product.name = "200 Series PCH HD Audio"
device.form_factor = "internal"
device.string = "0"
device.description = "Built-in Audio"
module-udev-detect.discovered = "1"
device.icon_name = "audio-card-pci"
profiles:
HiFi: Default (priority 8000, available: no)
off: Off (priority 0, available: unknown)
active profile: <off>
ports:
[Out] Headphones: Headphones (priority 300, latency offset 0 usec, available: no)
properties:

[Out] Speaker: Speaker (priority 100, latency offset 0 usec, available: unknown)
properties:

[Out] Line1: Line Out (priority 200, latency offset 0 usec, available: unknown)
properties:

[In] Mic1: Front Microphone (priority 100, latency offset 0 usec, available: no)
properties:

[In] Mic2: Rear Microphone (priority 300, latency offset 0 usec, available: no)
properties:

[In] Line2: Rear Line In (priority 200, latency offset 0 usec, available: no)
properties:Yet in KDE I only see two, the mic and hdmi, and I can't use aplay to play sound that I can figure out.

Output of aplay -L
Code:null
Discard all samples (playback) or generate zero samples (capture)
samplerate
Rate Converter Plugin Using Samplerate Library
speexrate
Rate Converter Plugin Using Speex Resampler
jack
JACK Audio Connection Kit
oss
Open Sound System
pipewire
PipeWire Sound Server
pulse
PulseAudio Sound Server
speex
Plugin using Speex DSP (resample, agc, denoise, echo, dereverb)
upmix
Plugin for channel upmix (4,6,8)
vdownmix
Plugin for channel downmix (stereo) with a simple spacialization
default
Default ALSA Output (currently PulseAudio Sound Server)
sysdefault:CARD=PCH
HDA Intel PCH, ALC1220 Analog
Default Audio Device
front:CARD=PCH,DEV=0
HDA Intel PCH, ALC1220 Analog
Front output / input
surround21:CARD=PCH,DEV=0
HDA Intel PCH, ALC1220 Analog
2.1 Surround output to Front and Subwoofer speakers
surround40:CARD=PCH,DEV=0
HDA Intel PCH, ALC1220 Analog
4.0 Surround output to Front and Rear speakers
surround41:CARD=PCH,DEV=0
HDA Intel PCH, ALC1220 Analog
4.1 Surround output to Front, Rear and Subwoofer speakers
surround50:CARD=PCH,DEV=0
HDA Intel PCH, ALC1220 Analog
5.0 Surround output to Front, Center and Rear speakers
surround51:CARD=PCH,DEV=0
HDA Intel PCH, ALC1220 Analog
5.1 Surround output to Front, Center, Rear and Subwoofer speakers
surround71:CARD=PCH,DEV=0
HDA Intel PCH, ALC1220 Analog
7.1 Surround output to Front, Center, Side, Rear and Woofer speakers
iec958:CARD=PCH,DEV=0
HDA Intel PCH, ALC1220 Digital
IEC958 (S/PDIF) Digital Audio Output
usbstream:CARD=PCH
HDA Intel PCH
USB Stream Output
hdmi:CARD=NVidia,DEV=0
HDA NVidia, HDMI 0
HDMI Audio Output
hdmi:CARD=NVidia,DEV=1
HDA NVidia, HDMI 1
HDMI Audio Output
hdmi:CARD=NVidia,DEV=2
HDA NVidia, HDMI 2
HDMI Audio Output
hdmi:CARD=NVidia,DEV=3
HDA NVidia, HDMI 3
HDMI Audio Output
hdmi:CARD=NVidia,DEV=4
HDA NVidia, HDMI 4
HDMI Audio Output
hdmi:CARD=NVidia,DEV=5
HDA NVidia, HDMI 5
HDMI Audio Output
hdmi:CARD=NVidia,DEV=6
HDA NVidia, HDMI 6
HDMI Audio Output
usbstream:CARD=NVidia
HDA NVidia
USB Stream Output
usbstream:CARD=Webcam
B525 HD Webcam
USB Stream OutputAlsa does seem to be showing ALL my devices, which is where this gets weird, I for some reason cannot select the devices listed to play from.

I'm on Arch by the way, I used the Zen kernel, though switching to the regular Kernel the problem follows and is the same. I've been doing some testing and I've tried downgrading several things related to audio packages, the biggest one being the alsa-card-profiles package, and that had no effect. I've tried resetting pulse to defaults and deleting my user settings, and I've done the same for Alsa.